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Guide for testing and documenting neurological function in kids with upper limb fractures 

Rock - Median
function in kids with upper ... Scissors - Ulnar ... drsarahedwards #Diagnosis ... Pediatrics #Hand #Peripheral ... #Arm #Injury #Innervation
Upper Extremity Nerve Pathologies 

 • Axillary Nerves
 • Musculocutaneous Nerve
 • Radial Nerve
 • Median
Upper Extremity ... • Ulnar Nerve ... #differential #diagnosis ... Neuropathy #anatomy #arm ... #innervation #neurology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
posterior interosseous nerve ... syndrome, ligamentous injury ... Posterior long arm ... #Radiology #XRay ... #Diagnosis #Management
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
anterior interosseous nerve ... ), ligamentous injury ... Posterior long arm ... Posterior #Radiology #XRay ... #Diagnosis #Management
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior interosseous nerve ... brachial artery injury ... Posterior long arm ... Humerus #Radiology #XRay ... #Diagnosis #Management
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
rotated, extended arm ... injuries: Axillary nerve ... Anterior #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #Sports
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
prevent radial and ulnar ... Hyperextension injury ... IPJoint #Radiology #XRay ... #Diagnosis #Management ... #Hand #Orthopedics
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
cord regions of innervation ... body segment: Upper ... activity between nerve ... Lateral #Sclerosis #neurology ... #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- Aortic - Peripheral ... Intraabdominal - Orthopedic ... undergoing AAA or upper ... medical and surgical management ... stratification #diagnosis